published_or_final_version / Architecture / Master / Master of Landscape Architecture

Yan Jing Linda. / Thesis submitted in: December 2003. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2004. / Includes bibliographical references (leaves 95-99). / Abstracts in English and Chinese. / ABSTRACT --- p.i / 中文摘要 --- p.iii / TABLE OF CONTENTS --- p.iv / Chapter CHAPTER 1 --- INTRODUCTION / Chapter 1.1 --- Background --- p.1 / Chapter 1.2 --- Research Question --- p.4 / Chapter 1.3 --- Zhejiang Provincial TV Station and the Economic Life Channel --- p.6 / Chapter 1.4 --- The Advertising Department --- p.9 / Chapter 1.5 --- Methodology --- p.11 / Chapter CHAPTER 2 --- """STRATEGIC ADAPTATION"": ANEO-INSTITUTIONAL-SOCIOLOGY APPROACH" / Chapter 2.1 --- Transaction Cost and Organizational Mode --- p.15 / Chapter 2.2 --- Organizations and Institutions in Transition Societies --- p.16 / Chapter 2.3 --- Studies on China's Media Reform --- p.19 / Chapter 2.4 --- """Strategic Adaptation""" --- p.21 / Chapter 2.5 --- "Behavioral Patterns of ""Strategic Adaptation""" --- p.22 / Chapter CHAPTER 3 --- INSTITUTIONAL CONFLICTS IN A TRANSITIONAL MEDIA ENVIRONMENT / Chapter 3.1 --- Partial Reform and Duality of Institutional Demands --- p.26 / Chapter 3.1.1 --- "“Old´حInstitutional Demands - the ""Propaganda Work Guidebook""" --- p.30 / News Censorship and Programming Policy --- p.31 / Propaganda Quality Responsible Contract --- p.32 / Chapter 3.1.2 --- “New´حInstitutional Demands 一 The Financial Responsible Contract --- p.34 / Revenue Target --- p.34 / Employment Terms and Performance Based Job Allowances --- p.35 / Chapter 3.2 --- Ambiguities and Conflicts --- p.37 / Chapter CHAPTER 4 --- STRUCTURAL ADAPTATION: DECOUPLING OF ACTIVITIES AND ORGANIZATIONAL STRUCTURE / Chapter 4.1 --- Structural Adaptation in a Transitional Context --- p.39 / Chapter 4.2 --- Spanning of Space --- p.42 / Chapter 4.3 --- Spanning of Practice --- p.47 / Chapter 4.4 --- Spanning of Identity --- p.50 / Chapter 4.5 --- Discussion --- p.52 / Chapter CHAPTER 5 --- SYMBOLIC ADAPTATION: BUILDING A SYMBOLIC BRIDGE / Chapter 5.1 --- Symbolic Adaptation in a Transitional Context --- p.55 / Chapter 5.2 --- Boundary Blurring --- p.56 / Chapter 6.3 --- Symbolic Packaging --- p.60 / Chapter 6.4 --- Ideological Framing --- p.63 / Chapter 6.5 --- Discussion --- p.68 / Chapter CHAPTER 6 --- RECIPROCAL BEHAVIORS / Chapter 5.1 --- Reciprocal Behaviors in a Transitional Context --- p.69 / Chapter 5.2 --- Emergent Networking --- p.72 / Chapter 5.3 --- Prospective Networking --- p.77 / Chapter 5.4 --- Discussion --- p.81 / Chapter CHAPTER 7 --- CONCLUSIONS / Chapter 7.1 --- Summary of Findings --- p.84 / Chapter 7.2 --- """Strategic Adaptation""" --- p.87 / Chapter 7.3 --- A Micro and Macro Link --- p.88 / Chapter 7.4 --- Generalizability and Boundaries of Findings --- p.90 / Chapter 7.5 --- Limitations and Agenda for Future Research --- p.92 / Bibliography --- p.95

Introduction: Breast milk is the best way to feed all infants. It results in better nutrition for the infant and to reduced rates of chronic disease later in childhood and adulthood. Breastfed babies have lower rates of infectious diseases and will not be exposed to contaminated infant formula, such as the recent experience with melamine in China. The WHO Expert Consultation on Infant Feeding recommended exclusive breastfeeding for six months, with the introduction of complementary foods and continued breastfeeding thereafter. It was also recommended by the WHO that breastfeeding continue beyond six months for up to two years and beyond. Breastmilk can provide the majority of nutrients for the first 12 months of life. Complementary foods were given in the second half year gradually. / However with the rapid economic development, the traditional home based obstetric system in China has changed. Following the change in women’s living styles, traditional infant feeding perceptions and practices have changed. Women now have high rates of returning to work after delivering a baby, especially in the urban areas, and more infants are being given infant formula and other substitutes for breastfeeding. Zhejiang Province is the one of fastest developing economic regions located in the mid Eastern coast of China. The breastfeeding rate has dropped rapidly since the 1970’s. This has significant implications for the child health in this region. A longitudinal study of breastfeeding was needed to provide the data necessary to implement a comprehensive health promotion program. Efforts are needed to promote breastfeeding, which should be one of the highest health promotion priorities. / The aim of this study was to document the prevalence and duration of breastfeeding and exclusive breastfeeding in city, suburban and rural areas in Zhejiang Province; analyze the factors determining the initiation and the duration of breastfeeding; document mothers’ knowledge about the benefits of breastfeeding; identify the prevalence of problems associated with breastfeeding and constraints to exclusive breastfeeding up to six months of life; document the prevalence of prelacteal feeds and finally to describe differences in breastfeeding between city, suburb and rural area. / Method: In order to achieve these objectives a longitudinal cohort study was undertaken of infant feeding practices in three locations in Zhejiang Province which represent city and suburban and rural areas. Mothers who delivered babies during 2004 and 2005 were randomly selected from the obstetric wards while in hospital and invited to voluntarily participate in the study. The mothers were interviewed in hospital and after discharge, were contacted by telephone three more times at 1, 3 and 6 months. The few mothers who could not be reached by telephone were interviewed during the scheduled routine immunisation clinics at their local MCH clinic. On each of these follow up occasions they were interviewed using a structured questionnaire to obtain details of infant feeding practices. A total of 1520 mothers were recruited in 4 hospitals located in city, suburb and rural areas. Almost all mothers (98%) agreed to participate. All data analyses were carried out using the Statistical Package for Social Science (SPSS), release 14.0 (SPSS Inc., Chicago, IL, USA). Descriptive techniques and survival analysis were used to document breastfeeding rates and duration. Cox regression analysis was undertaken to explore factors affecting breastfeeding. / Results: Of the total 1520 mothers were recruited into the study, 628 were from the city, 347 from the suburb and 535 from the rural area. Breastfeeding initiation rates were high in all three locations. Initially more than 95% of the mothers began breastfeeding, but only 50.3% babies averagely in three locations were being exclusively breastfed at discharge. The number of infants being exclusively breastfed prior to discharge was relatively low. Exclusive breastfeeding before discharge was positively related to delivery method, the first feed given to the baby, mother’s place of residence, mother’s age, mothers’ education level and family income. / ‘Any breastfeeding’ rates at discharge and at 1, 3 and 6 months were 96.9%, 96.0%, 89.7% and 76.7% respectively. ‘Exclusive breastfeeding’ rates at discharge, and at 1, 3, 6 months were 50.3%, 55.1%, 45.8% and 3.9% respectively. The average duration of ‘exclusive breastfeeding’ was 44.7 days (95% CI, 41.6-47.9). / Overall about half of mothers gave the babies prelacteal feeds before commencing breastfeeding. This situation was more common in city, compared with the suburban and rural mothers. The prelacteal feeding rates were 62.0%, 36.6% and 39.0% in city, suburb and rural area respectively. / The breastfeeding rates differed by location between the city, suburb and rural areas. ‘Any breastfeeding’ rates in the city, suburb and rural area at discharge were 96.5 %, 96.8 % and 97.4 % respectively, the ‘exclusive breastfeeding’ rates in city, suburb and rural area at discharge were 38.0%, 63.4 % and 61.0 % respectively. The rates of exclusive breastfeeding at six months were only 0.2%, 0.5 % and 7.2 % respectively, well below the Chinese and WHO targets. / The risk factors related to cessation of ‘any breastfeeding’ were ‘mother’s age’, ‘the time the decision to breastfeed was made’, ‘whether the infant was admitted to special care nursery’, ‘mother’s return to work within 6 months’, ‘the early feeding of water and /or other complementary foods, and location of mother’s usual residence. Factors negatively associated with ‘exclusive breastfeeding’ duration were early return to work and to place of residence, with the mothers living in the rural area exclusively breastfeeding for longer. / Delivery method was an important influence on breastfeeding. In this study the highest caesarean section rate was in the city (76%), with a similar rate in the suburbs (74%) and the lowest in the rural area (53%). Mothers who had a caesarean section were less likely to be exclusively breastfeeding on discharge (35.8% in city, 59.6% in the suburbs) compared to vaginal delivery where the rates were 45% and 74.4% respectively. The adjusted odds ratio for exclusive breastfeeding in caesarean section deliveries in the city and suburban mothers was 0.64 (95% CI 0.46, 0.88). / Conclusion: The study has descried the initiation and duration of breastfeeding (to six months) of babies in the different areas of Zhejiang Province. Separate information is provided on the prevalence of ‘any breastfeeding’ and ‘exclusive breastfeeding'. The factors that are associated with the initiation and duration of breastfeeding in Zhejiang Province are documented. Health promotion programs are needed to change some traditional inappropriate breastfeeding perceptions and to promote ‘exclusive breastfeeding’ in the first six months of life in Zhejiang. Education should be given and regulations should be introduced restricting hospital staff from recommending prelacteal and supplementary feeds unless warranted for medical reasons. The research also shows that there would be a benefit to breastfeeding if delivery and lactation leave were extended to six months and if the incidence of caesarean section could be reduced to levels more consistent with WHO expected levels.

Thesis (Ph. D.)--University of California, San Diego, 1999. / Vita. Includes bibliographical references (leaves 226-240).

Lee, Wun Sze Sylvia. / Thesis (Ph.D.)--Chinese University of Hong Kong, 2011. / Includes bibliographical references (leaves 261-268). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstract also in Chinese.

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Chow Kin On. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2006. / Includes bibliographical references (leaves 106-110). / Abstracts in English and Chinese. / Abstract --- p.i / Acknowledgements --- p.iii / Chapter Chapter One --- Introduction --- p.1 / Chapter 1.1 --- Motivation --- p.1 / Chapter 1.2 --- Contribution --- p.3 / Chapter Chapter Two --- Overview China's Administration System --- p.6 / Chapter 2.1 --- Development of China's System of Administrative Jurisdictions --- p.6 / Chapter 2.2 --- Administration System of Zhejiang --- p.15 / Chapter 2.3 --- Administration System of Fujian --- p.19 / Chapter Chapter Three --- Literature Review --- p.23 / Chapter 3.1 --- Advantages and Disadvantages of Province- Administering-County (PAC) System --- p.23 / Chapter 3.2 --- Literature on Prefecture-Level-City-Administering-County (CAC) System --- p.26 / Chapter 3.3 --- Literature on Economic Growth --- p.30 / Chapter Chapter Four --- Methodology --- p.34 / Chapter 4.1 --- Growth Regression Model and Approaches --- p.34 / Chapter 4.2 --- Explanatory Variables --- p.39 / Chapter Chapter Five --- Estimation Results --- p.47 / Chapter 5.1 --- Estimation Results --- p.47 / Chapter 5.2 --- Summary and Interpretation of Estimation Results --- p.53 / Chapter Chapter Six --- Policy Implications and Conclusion --- p.58 / Chapter 6.1 --- Summary of Major Findings --- p.58 / Chapter 6.2 --- Policy Implications --- p.59 / Chapter 6.3 --- Limitation and Possible Extensions --- p.63 / Appendix --- p.65 / Reference --- p.106

This thesis presents an interpretative study of an Australian offshore education program in educational leadership conducted at Hangzhou, Zhejiang Province in China from 2002 to 2003. It is a study of the influence of international education on the conceptions of the participants in a particular context, where Chinese culture and Western cultures came into contact. The study is significant because it investigated a relatively new aspect of international education, offshore education, this time from the perspective of the participants. It explored the conceptions of learning and leadership brought by a group of Chinese educational leaders to the course and investigated the perceived influence of the course upon their conceptions and self-reported leadership practice. It employed a culturally sensitive approach which recognizes that a complex interaction between Chinese and Western cultures is occurring in the participants of this study. This interpretative study was inspired by the phenomenographic approach. Phenomenography is an approach to research that has been used to help understand the key aspects of the variations in the experiences of groups of people (Marton & Booth, 1997). The study examined the experiences and understandings about learning and leadership of Chinese leaders in an offshore program, a Master of Educational Leadership. The program was delivered in a flexible mode in three intensive teaching brackets of six subjects. The study employed a semi-structured and in-depth interview technique. Twenty participants were interviewed twice over a 12-month period. The study sought a better understanding of their conceptions by making a comparison between their perceptions prior to and after undertaking the course. Participants were from schools, universities and educational departments. Potential differences across the three sectors were also considered in the analysis. The findings showed that most participants developed more complex understandings of learning and leadership throughout the course. Comparison of conceptions prior to and after the course indicated an expanded range of conceptions. There was reportedly a movement towards more complex and diversified perspectives. Prior to the course, participants reported comparatively traditional conceptions of learning and leadership in quite a limited range. Learning experience and exposure to Western educational ideas and practices seems to have led participants to reflect on their inherited assumptions and to expand their conceptions. They generally increased their awareness of key aspects of variations in learning and leadership. This study identified a general shift from content/utilitarian-oriented learning conceptions to meaning/developmental-oriented conceptions after undertaking the course. There was also a shift from task/directiveorientated conceptions about leadership to motivation/collaborative-oriented leadership conceptions. Many participants reported that they expanded their leadership practice after the course. The findings also revealed some differences regarding conceptual and practice changes across the three sectors. The study contributes to understanding of learning and leadership in an international education context. The learning and leadership conceptions and self-reported practices are context and culture dependent. The study illustrates the tensions between different cultural forces in the process of teaching and learning. The methodology which explores the subjective understandings of participants renders more complex understandings of intercultural processes than cross-cultural comparisons which have been predominant in the educational leadership field in the past. The results highlight the need for appreciation of local contexts in designing international programs. The discussion questions the universal applicability and transferability of Western ideas, and also highlights the importance of critical reflection and adaptation on the part of educational practitioners from non-Western cultures. It highlights the potential for growth of change in both providers and recipients of international education as a result of very different cultures and traditions coming into contact. Intercultural dialogue and integration of educational ideas and practices are likely to come about when East meets West in an open and reflective dialogue.

伴隨著改革開放開始的中國醫療改革由於受到過度市場化的影響，一直在質疑聲中前行。進入21世紀，社會醫療保障制度改革標誌著中國醫改「健康公平」之路的回歸。然而，在公平正義不斷被強調的口號背後，對「健康公平」的理論界定與實證研究仍然相對匱乏。 / 本研究從「弱者優先」的社會公義理論出發，重新將「健康公平」理論界定為「基於社會公義的健康平等」。研究員立於足后實證主義研究範式，綜合運用質化與量化研究方法，結合一手與二手數據分析，以浙江省為研究場域，探索以社會醫療保險改革為核心的醫療福利制度改革，對老年人「健康公平」所造成的影響。最終，確立了「底層健康公平」的價值選擇，並發展了多元健康公平的理論框架。 / 透過量化研究的主要發現，研究員的結論是要將健康公平問題從「機會公平」視角轉換為健康「結果公平」。另一重要的結論是不要單一關注社會醫療保險改革覆蓋面的擴大，更應關注不同保險項目之間福利待遇的公平性。透過多元線性回歸分析，研究員發現了醫療保險改革之後影響老年人健康水平的顯著因素：微觀層面的社會經濟地位與慢性病特徵，宏觀層面的保險因素與中觀層面的社會支持網絡。質化研究的採用將「健康公平」的討論從關注客觀的「健康結果」擴展為利益相關者主觀的公平性體驗。質化研究補充了政策制定者、基層醫生與弱勢老年人各自對「健康公平」的理解，進一步回答了「什麽是健康公平」，確立了本研究的底層視角。 / 混合研究進一步回答了社會醫療保險改革對老人「健康公平」的影響：雖然醫療保險改革提高了老人的「機會公平」，但這只是形式公平，改革在推動「過程公平」與「結果公平」這些實質公平的維度尚待探索。在醫療保險改革之後，進一步的路徑分析評估了「醫療服務使用」作為mediator的作用，呈現了與「健康水平」之間的負向因果關係。交互作用分析表明，如若改變弱勢老年人社群在「健康公平」中的弱勢地位，就需要社會醫療保險改革調節「醫療服務使用」與「健康水平」的關係；且澄清了不同社會醫療保險項目作為moderator的差別：城鎮職工基本醫療保險可以改善使用較多醫療服務的老人的健康水平，而新型農村合作醫療則起到相反的作用。在這些變量之間的關係背後，站在「弱者優先」的底層立場上，深入的質化研究補充了社會醫療保險改革對弱勢老人接受醫療服務與享受醫療福利待遇「過程公平」的缺失與「結果公平」的不足。 / 結合以上量化與質化研究發現，本研究識別出了「健康公平」多維度的影響因素（經濟地位、健康地位、社會關係網絡、身份地位、福利地位），建立了包括機會、結果和過程公平在內的多元的健康公平理論框架。並且綜合討論了「健康公平」理論的反思與重構，混合研究方法在評價醫療保障改革公平性實證研究中運用的可行性，並且倡導在政策制定中改變福利觀念，提出了如何進行公平的「全民醫保」政策改革，以及如何實現「以社區為中心的綜合健康服務與長期照顧體系」的政策創新。 / Along with the reform and opening up, the health reform in China had been continously challenged due to its excessive marketization. As the pioneer of a new round of health reform since 21st century, social health insurance reform reiterated ‘health equity’. Nevertheless, neither theoretical nor empirical studies were abundant behind the slogans for the advancement of equity and justice. / This thesis began with theory of social justice based on ‘give priority to the disadvantaged group’, redefining the concept of ‘health equity’ by ‘health equality on the basis of social justice’. Adopting of the paradigm of post-positivism, researcher chose quantitative-and-qualitative mixed method, and combined analysis of primary data and secondary data. This study has been located in Zhejiang province, intending to explore the impacts of health insurance reform along with health welfare system changes on health equity among the elderly. Researcher finally adopted the value choice of health equity for vulnerable groups, and developed a multi-dimension theoretical framework of ‘health equity’. / From the quantitative research findings, researcher modified the theory of health equity from concerning ‘equal opportunity’ to ‘equal outcome’. This research also contributed to a transition of health insurance studies from emphasis on expansion of ‘insurance coverage’ to the concerns with unequal benefit packages between different social insurance schemes. Multiple linear regression demonstrated significant predictors of older adults’ health outcome after health insurance reform, composing of socio-economic status and chronic disease in the micro-level, health insurance in the macro-level, and social support in the meso-level. Simultaneously, qualitative research explained diversive understandings of ‘health equity’ among policymakers, doctors who provide primary care and vulnerable older adults. The crucial question of ‘what is health equity’ has been answered, and that the ‘give priority to the disadvantaged group’ standpoint being reaffirmed. / Mixed method study further answered the research question of ‘what is impacts of health insurance reform on the health equity among the elderly’: Although health reform improved ‘opportunity equity’ for older adults as a kind of ‘form fairness’, it was still expected to explore other dimensions of ‘essential fairness’, such as ‘process equity’ and ‘result equity’. After health insurance reform, researcher employed path analysis to test mediator effects of ‘healthcare utilization’, which demonstrated negative causal relations with ‘health outcome’. Interaction effect analysis manifested a moderating effect of health insurance reform adjusting the relationship between ‘healthcare utilization’ and ‘health outcome’ with an attempt to improve social status for disadvantaged older groups. Interaction effects of different insurance schemes have been clarified as well: The Basic Medical Insurance for Urban Employees could improve health outcome of the elderly who use more health care services, whereas the New Rural Cooperative Medical Scheme played an opposite function. Under the background of these relations between variables, being standfast in vulnerabe groups’ stand, researcher adopted qualitative data to complement quantitative findings: The lack of ‘process equity’ and the short of ‘outcome equity’ during the process of interpreting accessibility to health care services and utilization. / In this dissertation, researcher also synthetically combined findings in quantitative and qualitative research, identified multiple predict factors of ‘health equity’ (economic status, health status, social networks, identity status and welfare status). All of above mentioned factors jointly composed and enriched multi-dimensional ‘health equity’ theoretical framework (including equitable opportunity, outcome and process). It also profoundly rethought and reconstructed ‘health equity’ theory, and evaluated efficiency and effectiveness of health insurance reform by using mixed research methods. Researcher advocated a transition of welfare ideology in the process of policy making, and recommended an ‘universal health insurance’ reform based on health equity, then initiated a ‘home and community based comprehensive health and long-term care service’ system. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / 劉曉婷. / "2013年3月". / "2013 nian 3 yue". / Thesis (Ph.D.)--Chinese University of Hong Kong, 2013. / Includes bibliographical references (leaves 386-422). / Abstract in Chinese and English. / Liu Xiaoting. / 論文摘要 --- p.I / Abstract --- p.III / 致謝 --- p.VI / Chapter 第一部份 --- 研究背景 --- p.1 / Chapter 第一章 --- 導論 --- p.2 / Chapter 第一節 --- 研究的緣起 --- p.2 / Chapter 一、 --- 醫療改革中的公平性失守 --- p.3 / Chapter 二、 --- 醫改糾偏：重建社會公平的改革共識 --- p.6 / Chapter 三、 --- 聚焦老年人：醫療保障改革中的弱勢社群 --- p.10 / Chapter 四、 --- 研究場域：浙江醫改之路 --- p.12 / Chapter 第二節 --- 研究問題的提出 --- p.16 / Chapter 第三節 --- 研究的目標 --- p.19 / Chapter 一、 --- 從理論上對「健康公平」的界定與發展 --- p.19 / Chapter 二、 --- 從實證研究中識別「弱勢老年人」的社會結構、關係網絡與疾病風險特徵 --- p.20 / Chapter 三、 --- 通過混合研究方法探索醫療保險改革與老人健康公平的因果關係 --- p.21 / Chapter 四、 --- 探索建立「健康公平」研究的理論框架 --- p.21 / Chapter 第四節 --- 本文的結構 --- p.24 / Chapter 第二部份 --- 研究準備 --- p.27 / Chapter 第二章 --- 文獻回顧 --- p.28 / Chapter 第一節 --- 平等與公平 --- p.28 / Chapter 一、 --- 平等的主體與客體 --- p.29 / Chapter 二、 --- 公平的價值選擇 --- p.35 / Chapter 第二節 --- 基於社會公義的健康公平 --- p.41 / Chapter 一、 --- 健康公平的界定 --- p.41 / Chapter 二、 --- 健康公平的實現 --- p.48 / Chapter 三、 --- 底線公平 --- p.53 / Chapter 第三節 --- 醫療保險、醫療服務使用與健康水平的關係 --- p.58 / Chapter 一、 --- 文獻回顧與批評 --- p.58 / Chapter 二、 --- 對老年人健康水平認識的發展 --- p.64 / Chapter 第四節 --- 影響健康公平的社會決定因素 --- p.69 / Chapter 一、 --- 社會結構因素 --- p.69 / Chapter 二、 --- 社會網絡因素 --- p.78 / Chapter 第五節 --- 中國社會醫療保險制度改革 --- p.87 / Chapter 一、 --- 中國傳統醫療保障制度及其缺陷 --- p.87 / Chapter 二、 --- 社會醫療保險的道路選擇與發展 --- p.91 / Chapter 三、 --- 醫療保障制度改革對弱勢社群的排斥 --- p.102 / 本章小結 --- p.107 / Chapter 第三章 --- 方法論與反思 --- p.109 / Chapter 第一節 --- 研究範式：對後實證主義的理解 --- p.109 / Chapter 一、 --- 範式與範式轉移 --- p.109 / Chapter 二、 --- 證偽與後實證主義的運用 --- p.112 / Chapter 三、 --- 研究方法的層次與後實證主義的適用性 --- p.116 / Chapter 第二節 --- 混合研究方法 --- p.118 / Chapter 一、 --- 量化與質化研究各自的優缺點 --- p.118 / Chapter 二、 --- 選擇混合研究方法的理由 --- p.121 / Chapter 第三節 --- 分析單位：結構與能動者 --- p.124 / Chapter 一、 --- 結構與能動者 --- p.124 / Chapter 二、 --- 本研究的分析單位 --- p.128 / Chapter 第四節 --- 研究員的自我反省 --- p.130 / Chapter 一、 --- 對研究員個人社會特徵與經歷的反思 --- p.131 / Chapter 二、 --- 對研究員在學術場域中的位置的反思 --- p.135 / Chapter 三、 --- 對整個研究過程和研究方法的反思 --- p.137 / 本章小結 --- p.141 / Chapter 第四章 --- 研究框架與研究設計 --- p.142 / Chapter 第一節 --- 研究框架 --- p.142 / Chapter 第二節 --- 基本概念界定 --- p.146 / Chapter 一、 --- 社會醫療保險 --- p.146 / Chapter 二、 --- 弱勢老年人 --- p.148 / Chapter 三、 --- 醫療服務使用 --- p.149 / Chapter 四、 --- 健康水平 --- p.150 / Chapter 五、 --- 健康公平 --- p.151 / Chapter 第三節 --- 量化研究設計 --- p.153 / Chapter 一、 --- 研究假設 --- p.153 / Chapter 二、 --- 抽樣方法、問卷調查與二手數據分析 --- p.157 / Chapter 三、 --- 測量問題與分析模型 --- p.165 / Chapter 第四節 --- 質化研究設計 --- p.171 / Chapter 一、 --- 研究假設 --- p.171 / Chapter 二、 --- 樣本選擇與獲得進入 --- p.173 / Chapter 三、 --- 資料收集策略與分析方法 --- p.183 / Chapter 第五節 --- 研究的質素 --- p.190 / Chapter 一、 --- 量化與質化研究方法各自的信效度 --- p.190 / Chapter 二、 --- 混合研究方法的信效度：三角互證法 --- p.192 / 本章小結 --- p.197 / Chapter 第三部份 --- 研究發現 --- p.198 / Chapter 第五章 --- 量化研究發現 --- p.199 / Chapter 第一節 --- 改革前後被訪老人社會特徵的變化 --- p.199 / Chapter 一、 --- 基本特徵 --- p.200 / Chapter 二、 --- 社會經濟地位 --- p.204 / Chapter 三、 --- 社會支持網絡 --- p.208 / Chapter 第二節 --- 被訪老年人的健康水平與醫療服務使用情況 --- p.210 / Chapter 一、 --- 健康水平 --- p.210 / Chapter 二、 --- 醫療服務可及性及使用 --- p.220 / Chapter 第三節 --- 各保險項目參保老年人的健康不平等 --- p.227 / Chapter 一、 --- 各保險項目參保老年人的基本特徵 --- p.228 / Chapter 二、 --- 醫療保險類型與老年人的醫療服務使用 --- p.230 / Chapter 三、 --- 醫療保險類型與老年人的健康水平 --- p.233 / Chapter 第四節 --- 多元線性回歸分析：對健康水平的預測 --- p.236 / Chapter 一、 --- 建立多元線性回歸模型 --- p.239 / Chapter 二、 --- 多元線性回歸分析的結果 --- p.242 / 本章小結 --- p.248 / Chapter 第六章 --- 質化研究發現 --- p.250 / Chapter 第一節 --- 政策制定者：對形式公平與個人責任的強調 --- p.250 / Chapter 第二節 --- 基層醫生：因醫患矛盾和「付出-回報失衡」而產生的弱勢感 --- p.255 / Chapter 第三節 --- 弱勢老人：建立在「比較」基礎上的不公平感 --- p.259 / Chapter 一、 --- 農村老人與城鎮老人比較：社會福利不公平與弱勢地位的惡化 --- p.261 / Chapter 二、 --- 普通老人與離退休干部比較：身份地位差別引發的醫療服務不公平 --- p.264 / Chapter 三、 --- 只享受醫療保險的老人與低保對象比較：究竟誰更加弱勢？ --- p.266 / 本章小結：基於弱者優先的底線公平 --- p.271 / Chapter 第七章 --- 混合研究發現：醫療保險改革如何影響弱勢老人的健康公平 --- p.274 / Chapter 第一節 --- 浙江省社會醫療保障的改革實踐：機會公平 --- p.275 / Chapter 第二節 --- 路徑分析：醫療服務使用與健康水平的關係 --- p.279 / Chapter 一、 --- 醫療服務使用與健康水平的相關分析 --- p.280 / Chapter 二、 --- 路徑模型的建立、修正及結果 --- p.282 / Chapter 三、 --- 戶口-醫療服務使用-健康水平（最終的路徑模型） --- p.294 / Chapter 第三節 --- 交互作用分析：醫療保險的調節作用 --- p.299 / Chapter 一、 --- 「城鎮職工基本醫療保險」作為moderator --- p.299 / Chapter 二、 --- 「新型農村合作醫療」作為moderator --- p.302 / Chapter 第四節 --- 醫療保障制度改革中的過程公平與結果公平 --- p.306 / Chapter 一、 --- 過程公平：部門利益爭奪中「看病貴」問題喜憂參半的改革 --- p.306 / Chapter 二、 --- 結果公平：弱勢老人未被滿足的需要與不足夠的保障 --- p.310 / 本章小結 --- p.316 / Chapter 第四部份 --- 討論與結論 --- p.318 / Chapter 第八章 --- 討論 --- p.319 / Chapter 第一節 --- 「公平性」理論的反思與重構 --- p.319 / Chapter 一、 --- 反思醫療福利改革的理論基礎：對社會公義理論的發展 --- p.320 / Chapter 二、 --- 分析「底層健康公平」的理論機制：階層化身份地位差別的形成與變遷 --- p.325 / Chapter 第二節 --- 傳統微觀影響因素的再認識 --- p.332 / Chapter 一、 --- 健康水平：疾病風險變化與健康水平測量的發展 --- p.332 / Chapter 二、 --- 社會經濟地位：從關注收入轉向關注疾病的經濟負擔 --- p.334 / Chapter 三、 --- 戶籍狀況：影響的消除還是持續？ --- p.336 / Chapter 第三節 --- 結果公平的全民醫療保險制度改革 --- p.339 / Chapter 一、 --- 全民醫療保險的角色反思：從機會公平到結果公平 --- p.339 / Chapter 二、 --- 從醫療服務使用到健康結果：全民醫療保險的新路徑倡導 --- p.341 / Chapter 三、 --- 醫療保險改革與醫藥體制改革的互動 --- p.344 / Chapter 第四節 --- 以社區為中心的綜合健康服務與長期照顧體系初探 --- p.349 / Chapter 一、 --- 社會支持網絡：擴展的視角 --- p.349 / Chapter 二、 --- 美國社區健康中心與長期照顧服務的啟示 --- p.351 / Chapter 三、 --- 對中國建立社區綜合健康服務與長期照顧體系的啟示 --- p.355 / 本章小結 --- p.357 / Chapter 第九章 --- 結論與建議 --- p.359 / Chapter 第一節 --- 結論 --- p.359 / Chapter 一、 --- 「底層健康公平」價值選擇的特殊意涵 --- p.360 / Chapter 二、 --- 混合研究發現「過程公平」與「主觀公平」的重要性 --- p.362 / Chapter 三、 --- 健康公平社會影響因素的新變化與新發現 --- p.363 / Chapter 四、 --- 改革中醫療保險對健康公平的調節作用 --- p.364 / Chapter 第二節 --- 建議 --- p.367 / Chapter 一、 --- 醫療保障政策建議 --- p.367 / Chapter 二、 --- 醫療與醫藥政策的配合：推動「過程公平」的需要 --- p.371 / Chapter 三、 --- 社會醫療保險改革對醫療服務發展的啟示 --- p.373 / Chapter 第三節 --- 貢獻、局限與研究展望 --- p.375 / Chapter 一、 --- 本研究的貢獻 --- p.375 / Chapter 二、 --- 本研究的局限 --- p.379 / Chapter 三、 --- 未來的研究方向 --- p.381 / 結束語 --- p.384 / 參考文獻 --- p.386 / 附錄 --- p.423 / Chapter 附錄1. --- 調查問卷 --- p.423 / Chapter 附錄2. --- 數據使用協議 --- p.441 / Chapter 附錄3. --- 知情同意書 --- p.442 / Chapter 附錄4. --- 訪談提綱 --- p.443

本文以晚明天台宗的發展為主題，并試圖通過浙江這一個案的研究來探究晚明時期中國佛教發展的特點。 / 晚明佛教的復興運動是一個各種佛教發展"模式"競爭的場所。在這裡，不同的人物或派別基於他們所理解的時代需要而有意識的"修剪菩提樹"，由此而產生各種風格迥異的佛教發展模式。晚明天台宗的復興運動也正是當時各種佛教發展模式中重要的一環。 / 本文首先通過考證得出正統譜系中晚明以來的這些天台宗祖師是由幾系以不同寺院為基礎的僧團編輯而成，并在四份傳承譜系的比較中，得出晚明天台宗在幽溪傳燈之後，由高明寺發展至浙江一帶不同地域的數系傳承，而智旭的靈峰寺僧團在明末清初一直秉承"不自立宗"的宗旨，兩者並非是"念珠式"一襲相承。要理解明清以來天台宗發展的走向，須要首先理解高明寺一系百松真覺、幽溪傳燈所領導的晚明天台宗的"中興"。 / 從百松真覺的續弘台宗，到幽溪傳燈時期的鼎盛，天台宗已成為東南浙江一帶頗具影響的派別。晚明天台在發展的模式的探索上，以幽溪傳燈的思想最為代表，他認為天台宗所傳的教法是最契合如來本心的，故而在其理論構建中，處處發明天台教旨，將其置於理論建構中的最高地位。 / 由於智旭思想中多有涉及天台教學，故而他和天台宗之間的關係歷來多有爭訟。本文則通過智旭與天台一系僧團的交流，特別是在他思想探索時期與幽溪傳燈的弟子的"共締千古盟"，來說明他爲什麽會如此注重天台教學。至於爲什麽他會被塑造為天台祖師，本文則通過明清天台譜系的研究來考證智旭的靈峰寺僧團在清中前期與幽溪傳燈一系傳承的交往以及逐漸演化為天台法脈的過程，并試圖通過明清佛教的組織形式來探討這種轉變的原因。 / 智旭與幽溪傳燈在模式上諸宗融合與宗派爭鳴兩種意見的分歧也促使我們對晚明佛教的融合論作進一步的反思。由於"佛教"這一術語的模糊性，每種發展模式的僧人都將自己所認同的教學模式認為是佛教的正統代表，因而，在他們判別各宗派佛法高低以及融合他宗時，不可避免的將自身所認同的佛法置於最高或最核心的地位，於是所謂的融合也就不可避免的變為伸張一家教旨的論斷，各種模式之間，甚至各種主張融合的模式之間的矛盾和爭訟也因此不可避免。 / In this thesis, I aim to discuss the development of T’ien-t’ai school in Late Ming and try to explore, through this case study, the characteristics of Chinese Buddhism in this period. / The Late Ming Buddhist revival is like a site of contestation by different Buddhist development "models", each kind of which intentionally "prunes the bodhi tree" according to its own understanding of Buddhism and the needs of their time. / From the time of Baisong Zhenjue (百松真覺) to Youxi Chuandeng (幽溪傳燈), the T’ien-t’ai School has become an influential faction of Buddhism in southeast China. The characteristic of their model is to highlight their sectarian identity, they put their teaching of T’ien-t’ai as the hightest in their scheme of classification of doctiones and as most conforming to the heart of the teachings of Buddha. / In the study of late Ming Buddhism, there has been much dispute on the relationship between Ouyi Zhixu (蕅益智旭) and the T’ien-t’ai School. In this thesis, I try to reveal Ouyi Zhixu’s communication with the disciples of Youxi Chuandeng to illustrate why he paid so much attention to the T’ien-t’ai teaching. As for why Ouyi Zhixu is presented as the patriarch of T’ien-t’ai School, I will show, through the textual research of T’ien-t’ai lineage recrods during the Ming and Qing Dynasties, how the lineage of the Lingfeng Temple (靈峰寺) sangha in early and mid Qing was transformed to become one of the T’ien-t’ai lineages. / The different understanding of Ouyi Zhixu and Youxi Chuandeng on syncretism or sectarian identity prompts us to rethink the syncretism of Late Ming Buddhism. Because of the ambiguity of the term "Buddhism", all different development models claims that they are the orthodox representation of Buddhism. In different scheme of doctrinal classification (判教), all factions will inevitably put their own theory as the highest or the core teaching of Buddhism. / The ambiguity of the term "Buddhism" also applies to the understanding of Buddhism by the gentry from Confucianism. What they are dealing with is different models of Buddhism, but not Buddhism as a whole. Therefore, the so-called syncretism of Confucianism and Buddhism or the unity of the three teachings (三教合一), actually refers to the relationship between the gentry and the kind of Buddhism that they identitied with. Moreover, the syncretism of Confucianism and Buddhism were with complicated social and historical background. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / 馬炳濤. / Thesis (Ph.D.) Chinese University of Hong Kong, 2015. / Includes bibliographical references (leaves 137-147). / Abstracts also in English. / Ma Bingtao.